JOURNAL MIDWIFERY (JM)
Jurnal Jurusan Kebidanan.
Poltekkes Kemenkes Gorontalo P-ISSN .
E-ISSN .
8-523X)
http://jurnal.
id/index.
php/JM/index DOI: http://dx.
org/10.
52365/jm.
IMPROVING PREGNANT WOMENAoS KNOWLEDGE OF PERINEAL MASSAGE THROUGH AUDIOVISUAL HEALTH MEDIA AND HUSBAND SUPPORT Selma Resina1.
Sukmawati A.
Damiti2.
Third Happy Marthalena S3.
Sofia Mawaddah4 Poltekkes Kemenkes Palangka Raya.
Jl.
George Obos No.
30, 32.
Menteng.
Kec.
Jekan Raya.
Kota Palangka Raya.
Indonesia Email: Selmaresina2002@gmail.
com1, sukmawati@polkesraya.
id2, happy4lena@gmail.
sofizline@gmail.
ABSTRACT
Efforts to increase pregnant womenAos knowledge about preventing ruptures include providing health To minimize the incidence of perineal rupture, namely by perineal massage.
To determine the effect of health education using audio-visual media on husbandsAo knowledge and support for third-trimester pregnant women regarding perineal massage.
Pre-Experimental type of research with a one-group pretest and posttest design.
The sample of this research was pregnant women in the third trimester in the Kalampangan Health Center working area.
Palangka Raya City, totaling 39 respondents who met the inclusion criteria.
Obtained from data analysis using the Paired sample ttest, the sig value of knowledge and husbandsAo support is <0.
there is an influence of health education using audio-visual media on husbandsAo knowledge and support for pregnant women in the third trimester.
Keywords: Perineal Massage.
Health Education.
Audio Visual.
Knowledge.
Husbands Support.
A2024 Selma Resina.
Sukmawati A.
Damiti.
Third Happy Marthalena S.
Sofia Mawaddah Under the licence CC BY-SA 4.
* Selma Resina.
Poltekkes Kemenkes Palangka Raya.
Jl.
George Obos No.
30, 32.
Menteng.
Kec.
Jekan Raya.
Kota Palangka Raya.
Indonesia,Selmaresina2002@gmail.
Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
INTRODUCTION
and others .
%) (Kalimantan Provincial From 2016 to 2020, it was estimated at Health Office Central, 2.
287,000 deaths per 100,000 live births.
The Maternal Mortality Rate (MMR) in Then in 2020, the MMR is estimated at Palangka Raya City in 2022 is 46 per 223 deaths per 100,000 live births.
MMR
100,000 live births.
This figure has in the Southeast Asia region 2016-2020 decreased compared to 2021, namely 69 was around less than 5%, and in 2020 per 100,000 live births.
In 2022 in MMR is estimated to be less than 2% in Palangka Raya City, 2 .
mothers will the Southeast Asia Region (World Health die, with the causes of death being Organization, 2.
bleeding and infection.
On the map of Based on data from the family health Maternal Mortality Rates in Palangka program at the Ministry of Health.
The Raya City in 2022, cases of maternal death Maternal are in two sub-districts, namely Pahandut Indonesia increases every year.
4,627
sub-district and Jekan Raya sub-district maternal deaths occurred in 2020 and (Palangka Raya City Health Office, 2.
increased to 7,389 in 2021.
The most Perineal rupture needs attention because it common causes of maternal deaths in 2021 can cause dysfunction of the female were COVID-19, namely 2,982 cases, reproductive organs, as a source of bleeding 1,330 cases, and hypertension in bleeding, and as a source or outlet for pregnancy amounting to 1,077 cases infection which can then cause death due (Ministry of Health of the Republic of to bleeding or sepsis (Apryanti, n.
Indonesia, 2.
Perineal rupture is one of the causes of In Central Kalimantan, 121 cases of bleeding during childbirth.
To minimize maternal death were reported in 2017, in the incidence of perineal rupture, namely 2018 it increased to 165 cases, and in 2019 perineal massage which can be done it increased to 166 cases.
Then in 2020 the regularly will reduce the incidence of maternal mortality rate fell to 141 per perineal rupture.
Perineal massage can 100,000 live births and rose in 2021 to 212 increase the flexibility of the perineal per 100,000 live births.
The most common causes are complications during childbirth resistance, and causing the perineum to such as bleeding .
%), hypertension stretch during labor without perineal tears .
%), and no need for an episiotomy (Pangesti Mortality Rate
(MMR)
%),
%), metabolic disorders .
%), et, al, 2.
Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
Efforts to increase pregnant women's the third trimester of doing perineal Basic research from Ambika Kurnia education, where this activity is an effort Mustikawati, et.
al in 2020.
A sample of 30 to convey health messages aimed at pregnant women was taken randomly.
The results of the research showed that all individual behavior (Pangesti et al.
, 2.
respondents, the majority of mothers Research results from Munikasari in 2018, .
%) were quite capable of practicing a sample of 38 third-trimester pregnant correct perineal massage techniques before the counseling was given, after being respondents that 24 pregnant women did given the counseling there was an increase not do perineal massage .
2%) 14 people in almost all of the 27 third trimester who did perineal massage .
8%), 21
pregnant women .
%) who were good at people who had poor knowledge .
3%),
practicing perineal massage techniques.
Correct.
knowledge, 16 mothers .
1%) had a The role of health workers is as an negative attitude and 22 people .
educator where midwives can provide had a positive attitude.
There is a knowledge about perineal massage to pregnant women aged 35 weeks, teach knowledge and attitudes of pregnant mothers how to massage the perineum, women towards perineal massage in the and motivate mothers to do perineal Temindung Samarinda Community Health As a counselor in her role here.
Center working area.
midwives can help clients to share about The research results of Nurun Ayati perineal massage during pregnancy to Khasanah, avoid perineal tears (Haryanti, 2.
respondents in this study were 27 pregnant Based on research by Citra Meisheilla et women in the third trimester.
The results , .
, shows that carrying out health of knowledge regarding perineal massage education using audio-visual media for showed that .
4%) of pregnant women husband support during pregnancy, is in the third trimester had good knowledge classified as effective with the post-test mean results, there is a difference in the motivation was obtained .
7%) with pretest mean of 53.
55 while the post-test positive motivation for pregnant women in mean is 58.
36, where there is 13 respondents were in the support category Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
and 9 respondents were in the less support 39 pregnant women in the third trimester This is related because after the of the pregnant women class in the health education was carried out there was Kalampangan Health Center.
Palangka a change in the posttest score regarding the Raya City, for the period October- husband's support which increased, so it December 2023.
The sampling technique can be interpreted that as the husband's used a purposive sampling technique with knowledge increases, the support that the inclusion criteria, namely pregnant women husband can provide to his wife will be more optimal.
This happens because the accompanied by their husbands and lived husband understands that he has an in the work area of the Kalampangan important role in maintaining his wife's Health Center.
Palangka Raya City.
health during pregnancy.
pretest was carried out on respondents by Based on a preliminary survey at the giving a questionnaire to determine the Kalampangan Community Health Center, level of knowledge and support of 15 respondents completed the knowledge husbands for pregnant women in the third The results showed that 80% of mothers had poor knowledge about education to be filled in and answered by perineal massage and only 20% had good participants by answering as honestly as knowledge about perineal massage.
When Then provide health education using audio-visual media about perineal regarding husband's support, the results massage to participants.
After being given showed that 70% of mothers received their health education, a posttest was carried out using the same questionnaire to determine category and 30% of mothers received the the husband's level of knowledge and Therefore, the Data analysis used univariate and author is interested in conducting this bivariate analysis using the paired sample research to find out the effect of health t-test.
Organize the data then arrange it in education using audio-visual media on the the form of a frequency distribution table.
knowledge and support of husbands in third-trimester pregnant women.
Data from this bivariate test analysis this METHOD research includes tests for normality of Pre-Experimental research design, one- variables and paired tests on husbands' group pretest, and post-test research knowledge and support for third-trimester The population in this study was pregnant women in the Puskesmas work Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
area Kalampangan.
Shapiro Wilk The data is a requirement of searching for a t- normality test is used with a sample size of test used.
Data analysis result normality 39 respondents test on the husbands' level of knowledge and support before and after being given Normality test The normality test is used to find out audio-visual Shapiro whether the data is normally distributed presented below table:
Wilk or not.
normal distribution conditions Table 1.
Data Normality Test Result in Audio-Visual Shapiro-Wilk Variable Measurement Statistic Sig.
Pre Test Knowledge Post Test Husbands Pre Test Support Post Test Source : (Master research data of Selma Resina 2.
Table 4 above shows the data results of Data in frequency distribution result of the normality test analysis at the level of the table of respondents based on age, husbandAos knowledge and support before education, occupation, and source of and after giving audio-visual.
Based on the information are present in the following results Shapiro Wilk analyzed normality with a sample the knowledge sig value in the pretest was 0.
113 and the posttest Table 2.
Frequency Distribution of Respondent Characteristics 128 and the sig value of husband support Total Karakteristik was obtained at the pretest 0.
Secondary School The characteristics of the sample Higher Education Job Housewife Data describing the characteristics of the Private and posttest 0.
524, which mean >0,05 so the data on all variables was tested using the paired t-test.
RESULTS AND DISCUSSIONS
Result sample in this study includes data on the ge, education, occupation, and source of information of the respondent.
Age
<20
>35
Education Primary School Source Information Friends Print Media Information Counseling by health workes Source: (Master data reserch Selma Resina.
Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
Table 1 shows that of the 39 respondents, before and after being given audiovisuals the age of pregnant women was between to third-trimester pregnant women in the 20-35, 31 people .
5%), the majority of Kalam Community Health Center working education was secondary education, 26 area food, namely:
6%), with the majority of jobs Level of knowledge before and after being housewives, 36 people .
giving audio-visual to pregnant women and the source of information with the in the third trimester largest majority was counseling by health Table 2 below shows the distribution workers as many as 24 people .
5%).
knowledge of respondents in the research Average Health Education It can be seen that the average .
Knowledge of Pregnant Women in the knowledge of pregnant women before the Third Trimester Before and After intervention was 42.
56, with the highest Health Education score of knowledge being 73 and the Data from univariate analysis in this study However, after the intervention, including frequency distribution data on the average .
knowledge of mothers the husband's level of knowledge and 77 with the highest knowledge being 100 and the lowest 60.
Table 3.
Average Health Education on Knowledge and Suppots HusbandAos of Pregnant Women in the Third Trimester Before and After Health Education Variable Min Max Mean Standard Deviation Pre Test Knowledge Post Test Knowledge Pre Test Husbands Support Post Test Husband support Level of husband support before and support value being 49 and the lowest after giving audio-visual to pregnant husband support value 25.
However, women in the third trimester the average husband support value for Based on Table 3, it can be seen that the pregnant women after the intervention average husband support value for 38 with a value The highest pregnant women before the intervention husband support value was 98 and the 44 with the highest husband lowest husband support value was 42.
Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
Biavariate Analysis .
The influence of Health Education Pregnant Women Perineal using Audio Visual Media on the Massage is presented in the following Knowledge of Third Trimester Table 5.
The Influence of Health Education with Audio Visual Media on the Knowledge and husbandAos Support of Third-Trimester Pregnant Women About Perineal Massage Knowledge Mean Standard Deviation Standard Error of the Mean P- Value 95% CI Lower Upper Pre Test Post Test Pre Test Post Test Paired t-test signed ranks test .
-value 0.
000<0,.
It is known that there is a difference in the Based average (Mea.
sig value.
-Taile.
is Safriana, 2.
94 people .
%).
000 < 0.
05, so it can be concluded that Pregnant women in the third trimester who there is an influence of Health Education have good knowledge about the danger signs of pregnancy and have positive Knowledge of Trimester Pregnant Women behavior in understanding the danger about Perineal Massage.
This is the largest presentation.
It is known that there is a difference in the namely 18 pregnant women .
sig value.
-Taile.
is (Zakaria & Kadir, 2.
000 <0,05, so it can be concluded that The results of 30 respondents After given there is an influence of Health Education Health Education, the average respondent with Audi Visual Media on Husband's of pregnant women who attended the Support for Pregnant Women in The Third mother class was 94.
33 with a standard Trimester regarding Perineal Massage.
deviation value of 5.
The highest score Audio Visual Media (Mudlikah.
Siti.
after being given Health Education was Discussion 100 and the lowest score was 80 (Dewi & The Influence of Health Education With Suwanti, 2.
Audio Visual Media on The Knowledge (Lupita & Meo, 2.
shows that the of Third Trimester Pregnant Women average pre-test is 2.
8 and the average About Perineal Massage.
post-test is 9.
This result shows that there Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
is a difference in the level of knowledge The Influence of Health Education With regarding perineal massage where the Audio Visual Media on The Husband's average knowledge before and after the Support of Third Trimester Pregnant promotion of perineal massage shows Women About Perineal Massage.
significant improvement.
This research is in line with Maulana's This research is in line with research theory .
which states the husband's (Mokoginta et al.
, 2.
which shows that support is the support given by the 18 respondents .
7%) had insufficient husband to the wife, a form of support knowledge, while 15 respondents .
where the husband can provide assistance had sufficient knowledge.
Based on the given by the husband to the wife, a form of results of this study, it can be seen that the support where the husband can provide perception of pregnant women is related to psychological assistance in the form of perineal massage with mothers receiving motivation, attention, and acceptance.
information and concluding information.
Husband's support is a helpful relationship According to (Halimahi et al.
, 2.
as that has special value for the wife as a sign many as 8 people .
%) had good of positive bonds.
knowledge, and 2 people .
% ) with According to research (Afiyah et al.
sufficient knowledge.
After being given 2.
, it is known that almost all of the 44 information and education, there are no more mothers who lack knowledge.
husband support.
This shows that the Health education is an activity or effort to husband's level of concern for the mother convey health messages to the community, is well-considered.
Shrestha et al.
groups, or individuals.
With the hope that define support as a full responsibility in a with this message, communities, groups or family and the husband has an important individuals can gain better knowledge role, where the husband is required not about health.
This knowledge is expected only as a breadwinner but as a provider of to influence their behavior.
The aim of motivation or support in various policies providing health education to pregnant that will be decided including family women in the third trimester is to increase the mother's insight and knowledge about According to Khairunisya's research.
Umi perineal massage, one of the benefits of Daimah, .
said that the average which is to prevent perineal tears or support given by husbands was 72.
Utami T.
V, .
63 with a minimum value range of 53 .
and a maximum value reaching 91.
The Selma Resina1.
Sukmawati A.
Damiti2.
Third H.
Marthalena S3.
Sofia Mawaddah4/ Journal Midwifery Vol.
No.
2, 2024 .
support distributed by husbands to mothers BIBLIOGRAPHY